Abstract
BackgroundCurrent guidelines favor radial over femoral access in patients with acute coronary syndromes for safety according to the results of recent trials. However, influence of access site on radiation dose and fluorography time is still unclear. MethodsWe retrospectively analyzed 390 patients who underwent percutaneous coronary intervention for acute coronary syndrome in Kardiocentrum Vysočina. We compared the access site with the number of stents implanted, the average fluorography time in minutes, the average radiation dose and mean effective dose that each patient received in Gy/cm2 or mSv respectively. ResultsUse of femoral access resulted in approximately 11% lower radiation dose (p=0.03). There has been no significant difference between fluorography time and the number of stents implanted in both cohorts. ConclusionWe found that the radiation dose was lower in femorally accessed group. Although radiation dose is not the main concern in patients with acute coronary syndromes, our results suggest that femoral access can be preferred over radial access in certain situations.
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